§ 19-702. Declaration of intent and policy  


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  •    (a) Statement of intent. -- In adopting this subtitle, the General Assembly intends to:

       (1) Provide alternative methods for the delivery of health care services to residents of this State, with a view toward achieving greater efficiency and economy in providing these services;

       (2) Encourage the formation of health maintenance organizations that provide health care services to subscribers or groups of subscribers who contract for these services under a system of prepayments; and

       (3) Encourage the formation of health maintenance organizations by such diverse groups as:

          (i) Nonprofit health service plans;

          (ii) Medical health service plans;

          (iii) Medical care foundations;

          (iv) Groups of professionals, either in the form of partnerships or professional corporations;

          (v) Consumer sponsored organizations; or

          (vi) Business or legal entities.

    (b) Policy. -- To carry out the intent of subsection (a) of this section, the policy of this State is to:

       (1) Provide one overall State law that:

          (i) Regulates health maintenance organizations;

          (ii) Allows flexibility for the many forms these health maintenance organizations may take; and

          (iii) Facilitates public understanding and uniform administration of the rules and regulations that are adopted under this subtitle;

       (2) Eliminate legal barriers to the organization, promotion, and expansion of health maintenance organizations;

       (3) Provide for regulation of:

          (i) The quality of health care, by the Department and by professional standards review organizations where appropriate; and

          (ii) All other matters covered under this subtitle, by the Commissioner; and

       (4) Exempt health maintenance organizations from the insurance laws of this State, except as set forth in this subtitle.


HISTORY: An. Code 1957, art. 43, § 841; 1982, ch. 21, § 2; 1999, ch. 697.